Healthcare Provider Details

I. General information

NPI: 1760298525
Provider Name (Legal Business Name): DEYLEN TELFER EARL RN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N COURTHOUSE RD APT 1801
ARLINGTON VA
22201-2520
US

IV. Provider business mailing address

300 HALKET ST STE 5770
PITTSBURGH PA
15213-3108
US

V. Phone/Fax

Practice location:
  • Phone: 571-315-7396
  • Fax:
Mailing address:
  • Phone: 571-315-7396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN809978
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN10008919
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010888
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: